RESIDENTS NAME: KEVIN G.

PASCUA

ETD: AUGUST 2015

PROCESS RECORDING NO. 1

PHASE: Orientation/Working (Orientation / Working / Termination Phase)

OBJECTIVE/s: 1 To establish rapport
2 To gather information about the patient.
3 To know the present thoughts and feelings of the patient.
PATIENTS PROFILE:
Name: UM Mr. X
Age: 16 years old
Pavilion: 14- Shang-rila
Description of the Nurse: ready to have nurse- patient interaction
Description of the Environment: Quiet and well ventilated.
Description of the Patient: Newly bathed with well combed hair, Appears neat.
NURSE
(Subjective / Objective cues)

PATIENT
(Subjective / Objective cues)

Magandang umaga po, Ako si Kevin

Pascua, ako maging nurse mo simula ng
alas siyete ng umaga hanggang alas
tres ng happon sa loob ng dalawang
lingo

Magandang umaga din sir, ah kayo pala

ang maging nurse ko.

Sir tawagin mo na akong Mr X

Establishing Rapport .To gain the trust

and confidence of the patient.

16 na po ako at taga Novaliches

Seeking Information helps the client to

articulate express thought s and idea
more clear

Ano ba ang gusto mong itawag ko sayo?

Ilang taon ka na Mr. X at saan ka
nakatira?

INFERENCE
(Therapeutic Technique and Rationale
behind)
Giving Information, relaying the contract
to the patient will prevent separation
anxiety during termination phase.

Mabuti naman po, (patients smiles)

Opo kasi nandyan po kayo

Sige Mr. X, Kamusta ka naman ngayon

Making Observation, telling the positive

points will increase self esteem

Napansin ko masaya ka .

Salamat naman po sir at nandyan kayo

Oo, nandito ako handang tumulong sa

yo

Sir Gusto ko nang umuwi, wala pong

dumadalaw sa akin.

Ano ang gustomong pag-usapan natin?

Opo sir, ayos na ang tulog ko at wala ng

naririnig
na bulong

Sa tingin mo ba na handa ka ng umuwi?

Maraming salamat po sir.

Opo sir, salamat po muli

Mabuti kung ganun, hayaan mo sabihin

ko sa doctor
Habang nandito ka pa sa ospital
sumama ka sa mga acivities natin
kagaya ng occupational theraphy para
di ka naiinip.
Salamat din sa pakikipag ugnayan mo
sa akin, bukas sa ganitong oras may
ugnayan tayo ulit dito rin sa lugar na
ito.

Offering self. Offering the presence of a

nurse shows interest and desire to
understand his thoughts and feelings
unconditionally.
Broad Opening, To establish open-ended
communication
Reflecting. .This will encourage the
patient to recognize or accept his own
feelings.The nurse indicates that the
clients point of view has a vaue and
allowing him to to make decisions and
think independently.

Giving information. This would increase

the patients knowledge about the
activities available in the ward.